Individual
KA THAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2505 W SHAW AVE STE 2, FRESNO, CA 93711-3334
(559) 241-7233
Mailing address
2505 W SHAW AVE STE 2, FRESNO, CA 93711-3334
(559) 241-7233
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
03/15/2018
Last updated
03/15/2018
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